<!DOCTYPE html>
<html lang="en">

<head>
    <!-- #include file="../com/link.asp" -->
    <style>
        .formProd {
            padding: 0 30px;
        }

        .formProd input {
            width: 230px;
            margin-right: 10px;
        }

        .formProd span {
            font-size: 14px;
            color: 000000;
        }

        .formProd span em {
            color: #054599;
        }
    </style>
</head>

<body>
    <form class="layui-form formProd" action="">
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label">您的问题</label>
            <div class="layui-input-block">
                <textarea name="desc" placeholder="" lay-verify="required" required class="layui-textarea"></textarea>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">手机号码：</label>
            <div class="layui-input-block flexs">
                <input type="text" name="title" required lay-verify="required" placeholder="" autocomplete="off"
                    class="layui-input">
                <span>(可选，<em>客服回复后回短信通知您</em>)</span>

            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">上传附件</label>
            <div class="layui-input-block">
                <input type="file" name="file" required lay-verify="required" autocomplete="off">
            </div>
        </div>

        <div class="layui-form-item">
            <div class="layui-input-block">
                <button class="layui-btn" lay-submit lay-filter="formDemo">提交问题</button>
            </div>
        </div>
    </form>
</body>


</html>